EDALYN MENDOZA KO DPM NPI 1265547277

NPI Information

  • NPI: 1265547277
  • Provider Name: EDALYN MENDOZA KO, DPM
  • Classification: Podiatrist - 213ES0131X
  • Specialization: Foot Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1400 VALLEY RIVER DR STE 210
    EUGENE, OR
    ZIP 97401
  • Phone: (541) 600-4630

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NPI Details

Edalyn Mendoza Ko, DPM is a foot surgery podiatrist in Eugene, OR with 25 years of experience. Edalyn Mendoza Ko, DPM NPI is 1265547277. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: CALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Graduation Year:2000

The provider's business location address is:

1400 VALLEY RIVER DR STE 210
EUGENE, OR
ZIP 97401-759
Phone: (541) 600-4630
Fax: (877) 370-7523

The NPI 1265547277 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 8/20/2006 and was last updated on 2/12/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213ES0131XPodiatristFoot SurgeryDP00360OREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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